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Active NPI 1245581677 Individual Practitioner Female Practitioner

Nicole M. Kellner , PA

Physician Assistant • Fort Wayne, IN

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Nicole Kellner, PA is a certified Physician Assistant practicing in Fort Wayne, IN. With approximately 14 years of clinical experience since completing medical education in 2012, Nicole Kellner delivers high-quality medical care to the local community at 7900 W JEFFERSON BLVD STE 306.

Nicole Kellner is affiliated with Lutheran Medical Group Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include follow-up hospital inpatient care per day, established patient outpatient office visit, initial hospital care with straightforward or low-level medical decision making, if using time, at least. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

7900 W Jefferson Blvd Ste 306

Fort Wayne, IN 468044128

Telephone 2604793514
Fax 2604793520

Medicare Profile & Education

Medical School

Other

Graduation Year

2012

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Fort Wayne, IN

Established Specialist (10-20 Yrs)
Practitioner Clinical Experience
14 Yrs +3.6 yrs vs City Avg
City Avg: 10.4 Yrs
State Avg: 9.4 Yrs
Regional Practice Density
315 Specialists

Practicing in Fort Wayne, IN (2429 Statewide)

Telehealth Adoption Rate
7.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Kellner (14 Years) 14 Yrs
Fort Wayne Specialty Average (10.4 Years) 10.4 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes
21 14 $120.00 $38.78

Medical Specialties & State Licenses

CMS Verified: 2024-08-14
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License IN 10004106A

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Hospital & Practice Group Affiliations

Lutheran Medical Group Llc

7952 W Jefferson Blvd, Fort Wayne, IN 468044140

Phone: 2604352999

Lutheran Medical Group Llc

7970 W Jefferson Blvd, Fort Wayne, IN 468044140

Phone: 2604322297

Lutheran Medical Group Llc

7938 W Jefferson Blvd, Fort Wayne, IN 468044140

Phone: 2604368583

Lutheran Medical Group Llc

2516 E Dupont Rd, Fort Wayne, IN 468251608

Phone: 2604346076

Lutheran Medical Group Llc

7956 W Jefferson Blvd, Fort Wayne, IN 468044140

Phone: 2604352836

Lutheran Medical Group Llc

7970 W Jefferson Blvd, Fort Wayne, IN 468044140

Phone: 2604356105

Lutheran Medical Group Llc

7988 W Jefferson Blvd, Fort Wayne, IN 468044140

Phone: 2609697280

Lutheran Medical Group Llc

7916 W Jefferson Blvd, Fort Wayne, IN 468044140

Phone: 2604322297

Lutheran Medical Group Llc

7956 W Jefferson Blvd, Fort Wayne, IN 468044140

Phone: 2604346339

Lutheran Medical Group Llc

7950 W Jefferson Blvd, Fort Wayne, IN 468044140

Phone: 2604357001

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
Adrienne Peery , NP

Nurse Practitioner - Family

NPI 1588124556

Nurse Practitioner

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

22 Historical Events
📍
Updated Practice Location August 14, 2024

Registered at 7900 W JEFFERSON BLVD STE 306, FORT WAYNE, IN 468044128 (Tel: 2604793514)

📍
Updated Business Mailing Address August 14, 2024

Registered at 6920 POINTE INVERNESS WAY STE 200, FORT WAYNE, IN 468047934 (Tel: 2604793514)

👤
Provider Name / Credentials Updated August 14, 2024

Recorded as NICOLE KELLNER, PA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 14, 2024

Physician Assistant (License #10004106A in IN)

📍
Updated Practice Location January 07, 2022

Registered at 40 MEDICAL PARK BLVD, SUITE A, PETERSBURG, VA 238059289 (Tel: 8045206730)

📍
Updated Practice Location October 08, 2020

Registered at 9460 AMBERDALE DR STE D, NORTH CHESTERFIELD, VA 232361259 (Tel: 8045330220)

📍
Updated Business Mailing Address October 08, 2020

Registered at PO BOX 402924, ATLANTA, GA 303842924 (Tel: 8043202705)

📍
Updated Business Mailing Address February 06, 2020

Registered at 8580 MAGELLAN PKWY, RICHMOND, VA 232271149 (Tel: 8045206730)

NPI Profile Active January 19, 2018

NPI status registered as active in NPPES database

📍
Updated Business Mailing Address January 19, 2018

Registered at 436 CLAIRMONT CT STE 105, COLONIAL HEIGHTS, VA 238341765 (Tel: 8045206730)

📍
Updated Practice Location January 19, 2018

Registered at 40 MEDICAL PARK BLVD, SUITE A, PETERSBURG, VA 238059289 (Tel: 8045206730)

👤
Provider Name / Credentials Updated January 19, 2018

Recorded as NICOLE KELLNER, P.A.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 19, 2018

Physician Assistant (License #0110004771 in VA)

📍
Updated Practice Location April 18, 2017

Registered at 40 MEDICAL PARK BLVD, SUITE A, PETERSBURG, VA 238059289 (Tel: 8045047900)

📍
Updated Business Mailing Address April 18, 2017

Registered at 40 MEDICAL PARK BLVD, SUITE A, PETERSBURG, VA 238059289 (Tel: 8045047900)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 18, 2017

Physician Assistant (License #0110004771 in VA)

NPI Profile Active April 02, 2013

NPI status registered as active in NPPES database

📍
Updated Practice Location April 02, 2013

Registered at 45TH AND PENN, CHILDREN'S HOSPITAL DRIVE, PITTSBURGH, PA 152019998 (Tel: 4126925887)

📍
Updated Business Mailing Address April 02, 2013

Registered at 200 LOTHROP ST, FORBES TOWER ROOM 9055, PITTSBURGH, PA 152132536 (Tel: 4126473087)

👤
Provider Name / Credentials Updated April 02, 2013

Recorded as NICOLE KELLNER, P.A.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 02, 2013

Physician Assistant (License #MA055720 in PA)

🟢
Initial NPI Registration & Enumeration September 25, 2012

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1245581677
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 25, 2012
Last Update: August 14, 2024
Sole Proprietor: No

Mailing Address

6920 Pointe Inverness Way Ste 200

Fort Wayne, IN 468047934

Phone: 2604793514

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.